Serveur d'exploration sur la COVID en France

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[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].

Identifieur interne : 000109 ( Main/Exploration ); précédent : 000108; suivant : 000110

[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].

Auteurs : R. Bocher [France] ; C. Jansen [France] ; P. Gayet [France] ; P. Gorwood [France] ; V. Laprévote [France]

Source :

RBID : pubmed:32471705

Descripteurs français

English descriptors

Abstract

OBJECTIVES

The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic.

METHOD

This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature.

RESULTS

Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations.

DISCUSSION

COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care.


DOI: 10.1016/j.encep.2020.05.004
PubMed: 32471705
PubMed Central: PMC7250556


Affiliations:


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<term>France (epidemiology)</term>
<term>Health Personnel (psychology)</term>
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<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
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<b>OBJECTIVES</b>
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<p>The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHOD</b>
</p>
<p>This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care.</p>
</div>
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<VernacularTitle>Réactivité et pérennité des soins psychiatriques en France à l’épreuve du COVID-19.</VernacularTitle>
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<Year>2020</Year>
<Month>05</Month>
<Day>26</Day>
</ArticleDate>
</Article>
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<Country>France</Country>
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<MeshHeading>
<DescriptorName UI="D001508" MajorTopicYN="N">Bed Conversion</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006754" MajorTopicYN="Y">Hospital Restructuring</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006778" MajorTopicYN="N">Hospitals, Psychiatric</DescriptorName>
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<DescriptorName UI="D008605" MajorTopicYN="N">Mental Health Services</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D010362" MajorTopicYN="N">Patients' Rooms</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D017216" MajorTopicYN="N">Telemedicine</DescriptorName>
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<Keyword MajorTopicYN="N">Health system</Keyword>
<Keyword MajorTopicYN="N">Hospitalisation</Keyword>
<Keyword MajorTopicYN="N">Hospitalization</Keyword>
<Keyword MajorTopicYN="N">Organisation des soins</Keyword>
<Keyword MajorTopicYN="N">Psychiatrie</Keyword>
<Keyword MajorTopicYN="N">Psychiatry</Keyword>
<Keyword MajorTopicYN="N">SARS-COV-2</Keyword>
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<Month>04</Month>
<Day>30</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>05</Month>
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<PubMedPubDate PubStatus="pubmed">
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<Month>5</Month>
<Day>31</Day>
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<PubMedPubDate PubStatus="medline">
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<PubMedPubDate PubStatus="entrez">
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<ArticleId IdType="pubmed">32471705</ArticleId>
<ArticleId IdType="pii">S0013-7006(20)30089-0</ArticleId>
<ArticleId IdType="doi">10.1016/j.encep.2020.05.004</ArticleId>
<ArticleId IdType="pmc">PMC7250556</ArticleId>
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<list>
<country>
<li>France</li>
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<region>
<li>Alsace (région administrative)</li>
<li>Grand Est</li>
<li>Lorraine (région)</li>
<li>Pays de la Loire</li>
<li>Île-de-France</li>
</region>
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<li>Nantes</li>
<li>Paris</li>
<li>Strasbourg</li>
<li>Vandœuvre-lès-Nancy</li>
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<country name="France">
<region name="Pays de la Loire">
<name sortKey="Bocher, R" sort="Bocher, R" uniqKey="Bocher R" first="R" last="Bocher">R. Bocher</name>
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<name sortKey="Gayet, P" sort="Gayet, P" uniqKey="Gayet P" first="P" last="Gayet">P. Gayet</name>
<name sortKey="Gorwood, P" sort="Gorwood, P" uniqKey="Gorwood P" first="P" last="Gorwood">P. Gorwood</name>
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<name sortKey="Laprevote, V" sort="Laprevote, V" uniqKey="Laprevote V" first="V" last="Laprévote">V. Laprévote</name>
</country>
</tree>
</affiliations>
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